Josh Hexter, now entering his eighth season with the program, joined the Duke women's lacrosse coaching staff prior to the 2005 season. Working primarily with the offense, Hexter was promoted to Associate Head Coach in 2010.

Since his arrival in Durham, Duke has amassed a 108-36 record, averaging nearly 16 wins a season. Under Hexter's watch, the Blue Devils have won three ACC regular season championships, as well as an ACC Tournament title, while also reaching five national semifinals (2005, 2006, 2007, 2008, 2011). With his guidance, the Duke offense is consistently one of most dangerous in the country. Since 2005, Duke has scored 2,020 goals, averaging over 14 per contest, a jump of nearly four goals per game from the nine seasons prior to his arrival. In addition, the 2009 squad set program single-season highs for goals (313), assists (150) and points (463).

Hexter served as the head women's lacrosse coach at Bridgewater State College in Bridgewater, Mass., before his arrival in Durham. While at Bridgewater State, the program amassed a 72-42 record and made a trip to the New England Women's Lacrosse Alliance (NEWLA) title game in six consecutive seasons. He led the team to two conference championships during this time and in 2003, Bridgewater made the program's first-ever appearance in the NCAA Division III Tournament.

Prior to coaching at Bridgewater, Hexter coached the New England III Team in the National Tournament and in the Bay State Games. He also served as an assistant women's lacrosse coach at The College of the Holy Cross from 1996-97.

A 1995 graduate of Assumption College, he was a four-year standout defenseman on the lacrosse team, earning team captain and NECLA All-Star honors during his senior campaign. In 1995, Hexter became the first player in Assumption history to earn a spot in the East-West New England All-Star Game.

Hexter and his wife, Courtney, reside in Durham with their sons - Evan, Christopher and Nicholas - and their dog, Rosie.